| |
5991 E. Spring St., Long Beach, CA 90808 | |
(562) 938-9945 | |
(562) 496-0433 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 5991 E. Spring St., Long Beach, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528162690 | NPI | - | NPPES |
ZZZ01505Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | W14969 (California) | Secondary |
207W00000X | Ophthalmology | W14969 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
888 S Disneyland Dr, Suite 100, Anaheim, CA 92802-1847 Ph: (714) 604-4621 | 5991 E. Spring St., Long Beach, CA 90808 Ph: (562) 938-9945 |